Integrated Diabetes Self-Management Program Using Smartphone Application: A Randomized Controlled Trial

2021 ◽  
pp. 019394592199491
Author(s):  
Yeojin Kim ◽  
Hyejin Lee ◽  
Ji Min Seo

This study identified the effects of an integrated diabetes self-management program using smartphone application (app), based on the Information-Motivation-Behavioral skills (IMB) model. A randomized comparison, using a pre-and post-test design, was conducted with 32 participants in the experimental group and 36 in the control group. The integrated diabetes self-management program consisted of face-to-face educational sessions, a diabetes self-management smartphone app, and phone counseling. In the experimental group, diabetes self-management knowledge (Z=-2.70, p=.007), social motivation (Z=-1.97, p=.048), and behavior (t=3.22, p=.002) improved, with their hemoglobin A1c (Z=-4.83, p<.001) decreasing compared to the control group. At the post-test, the experimental group’s fasting blood sugar level (t=2.79, p=.009), total calorie intake (t=3.94, p=.001), carbohydrate intake (t=5.69, p<.001), and fat intake (t=2.54, p=.021) decreased compared to the pre-test. An integrated diabetes self-management program using smartphone app, based on the IMB model, should be utilized as a nursing intervention.

Author(s):  
Chattavut Peechapol ◽  
Jaitip Na-Songkhla ◽  
Siridej Sujiva ◽  
Arthorn Luangsodsai

This study was conducted to develop a smartphone application to enhance self-efficacy for online learning. The theory of planned behaviour (TPB) was used as a framework for developing the smartphone app. The study used research and design (R&amp;D) through three phases: 1)<strong> </strong>examining relevant literature and interviewing recognized experts in the field, 2) developing the smartphone app, and 3) studying the effect of the smartphone app on the self-efficacy of online learners. The results demonstrated that the framework of the smartphone application based on the TPB comprised six components. They were 1) the TPB’s concept for online learning, 2) instructional process, 3) instructional support tools, 4) application features, 5) instructor’s role, and 6) learner’s role. For technical aspects, the smartphone app was developed and deployed by using Amazon Web Service (AWS) cloud computing platform and infrastructure. Studying the effect of the application on self-efficacy was performed for four weeks using two groups in a pre-test/post-test design. The research method involved purposive sampling of 180 undergraduate students, consisting of a 90-student experimental group and a 90-student control group. The application based on the TPB and the application without the TPB were implemented in the experimental group and the control group, respectively. The results demonstrated that the post-test score of self-efficacy in online learning for the experimental group was statistically significantly higher than the control group at 0.05 level. This result showed that the smartphone app based on the TPB could significantly affect self-efficacy for online learners; it has the potential to be an effective tool for teaching an online course.


2021 ◽  
pp. 109980042110618
Author(s):  
Mei-Chen Lee ◽  
Shu-Fang Vivienne Wu ◽  
Kuo-Cheng Lu ◽  
Wen-Hug Wang ◽  
Yen-Yen Chen ◽  
...  

This longitudinal study with a randomized controlled trial evaluated the long-term effectiveness of the patient-centered self-management intervention program on the control of blood pressure and renal function, as well as the quality of life of patients with hypertensive nephropathy. The control group ( n = 38) received usual care while the experimental group ( n = 38) participated in a patient-centered self-management program. After the pre-test, the intervention was performed with the experimental group once a week for a total of 4 weeks. Then, the post-test was performed 1, 3, and 6 months later. A questionnaire was used to collect the demographic data and disease characteristics, laboratory data, and quality of life scale. This study tracked three time points (i.e., 1, 3, and 6 months) after the intervention and found that the experimental group achieved significant results in controlling systolic blood pressure ( p < 0.001), diastolic blood pressure ( p = 0.007), and eGFR ( p = 0.013). Significant results were achieved in the overall quality of life ( p < 0.001) and the quality of life in the physical (PHC; p < 0.001) and mental health components (MHC; p < 0.001). Furthermore, the effects in the experimental group lasted for as long as 6 months and were better than those in the control group. Moreover, this program can provide nursing staff with a reference different from traditional health education methods.


Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Jeong-Ah Ahn ◽  
Eui-Young Choi ◽  
Jin-Sun Park

Introduction: It is considered an important strategy to support heart failure (HF) patients for lifetime self-management. However, some programs for HF patients made them difficult to revisit the hospital or due to economic burden. Therefore, a practical alternative to a comprehensive and user-friendly self-management program for HF patients is needed. Purpose: The aim of this study was to develop a mobile App program for HF patients, and to identify the impact of the program on patients with HF. Methods: We developed a mobile App program, named “HF-Smart Life”. This App installed the configurations and functions of educational materials using pictures and animations, daily health (blood pressure and body weight) check-up diary, Q & A, and 1:1 chat considering user’s convenience. Regarding the experimental study, we employed a quasi-experimental design to evaluate the effects of the program in 74 patients with HF. The experimental group participated to use the mobile App program, including education, feedbacks on self-management, and monitoring in their daily life, for 3 months. Results: Participants of the program (n=36) exhibited significantly improved NYHA functional class and cardiac diastolic function (E/Ea ratio measured by echocardiogram) than the control group (n=38) after 3 months. The mean NYHA function class of the experimental group changed from 2.14 to 1.82, and that of the control group changed from 2.66 to 2.38 (F=9.260, p=.003). Also, the mean E/Ea ratio decreased from 12.24 to 11.35 in the experimental group, whereas that of the control group increased from 14.70 to 16.42 (F=5,280, p=.024). However, there was no significant difference between the groups with cardiac systolic function (left ventricular ejection fraction measured by echocardiogram) and quality of life. Conclusions: This mobile App program showed effectively improvements in HF patients' symptom (functional) class and cardiac diastolic function. Future study is needed to investigate the long-term effects of the mobile-based education and self-management program in HF population. Funding: This research was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (NRF-2017R1C1B1007090 & 2019R1F1A1063148).


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 167-170
Author(s):  
Priyadarsini A ◽  
Sumani mazumdar

Hypertension is a crucial problem in developing countries where there is without treatment; it leads to serious and life-threatening causes. Hypertension is an "iceberg" disease. The current investigation intends to decide the adequacy of the figure of eight on the reduction of blood pressure among hypertensive clients. A Pre experimental one group pretest post-test design was used with (60) hypertensive client who falls into the inclusion criteria was selected by using purposive sampling technique which 30 in the experimental group and 30 in the control group. The demographic data and the structured questionnaires were collected in both the groups followed by that the pretest was conducted on 1st two days and after that, the intensity level of blood pressure in both the groups was assessed by using a sphygmomanometer (systole/diastole) Only in the experimental group the post-test (Level of Blood pressure) was evaluated on the 5th day. The investigation shows that in the pretest of the experimental group, 15(50%) had stage I hypertension, 14(46.67%) had stage II hypertension and 1(3.33%) had prehypertension. Whereas in the post-test, 21(70%) had prehypertension, 8(26.67%) had stage I hypertension and only 1(3.33%) had stage II hypertension. Thus, the study proves that figure of eight walking can be used as an effective nursing intervention for reducing the blood pressure among the hypertensive clients and it is an easily applicable technique and also causes effective method with no side effects.


2019 ◽  
pp. 43-49
Author(s):  
N Naziyah ◽  
Lyta Pramudyawati

Jumlah penyakit pneumonia pada balita terus meningkat setiap tahunnya termasuk di Puskesmas Pancoran Jakarta. Peran orang tua balita sangat penting untuk menekan jumlah pneumonia pada balita dan penatalaksanaan yang tepat. Pendidikan kesehatan tentang pneumonia pada orang tua dengan balita pneumonia sangat efektif untuk meningkatkan pengetahuan orang tua sehingga penatalaksanaan pneumonia pada balita tepat. Metode penelitian adalah quasi-experiment, pre-test and post-test design with control group. Terdapat 50 responden terbagi 2 kelompok. Kelompok eksperimen diberikan intervensi pendidikan kesehatan menggunakan media leaflet, sedangkan kelompok kontrol hanya mendapatkan pelayanan normal mengikuti program Puskesmas tanpa diberikan pendidikan kesehatan tentang pneumonia dengan menggunakan leaß et. Instrumen untuk mengukur tingkat pengetahuan responden adalah dengan menggunakan kuesioner tingkat pengetahuan tentang pneumonia yang diambil dan dimodifikasi oleh peneliti berdasarkan penelitian sebelumnya. Hasil penelitian menunjukkan bahwa ada perbedaan tingkat pengetahuan antara kelompok eksperimen dengan kelompok kontrol sebelum dan sesudah diberikan pendidikan kesehatan tentang pneumonia dengan menggunakan leaflet (p<,05). Pendidikan kesehatan merupakan salah satu bentuk intervensi keperawatan yang dapat diaplikasikan di Puskesmas tidak hanya untuk pneumonia juga penyakit yang lainnya agar pasien dan keluarganya memahami dengan baik tentang penyakit ISPA / Pneumonia. Kata kunci: pendidikan kesehatan, leaß et, pneumonia, tingkat pengetahuan. The prevalence of pneumonia in babies was increase each year including in Pancoran Publich Health Centre, Jakarta. The role of parents is necessary to decrease it prevalence particularly in babies. Health education regarding pneumonia for parents who have babies with pneumonia was important to increase their knowledge regarding pneumonia so that the management of pneumonia in babies could be solved. The research method is a quasi-experimental study, pre-test and post-test design with control group. There were 50 respondents which assigned to the experimental group and the control group. The experimental group received a health education regarding pneumonia by using leaflet, whereas the control group only received the usual care from the Pancoran Public Health Centre. The instrument to measure the level of knowledge about pneumonia used pneumonia knowledge questionnaire which modiÞ ed from a previous study. The Þ ndings of this study showed that there was a signiÞ cance different regarding pneumonia knowledge between the experimental group and the control group before and after receiving the health education about pneumonia (p<,05). The health education is one of the nursing intervention which can be applied in Public Health Centre not only for pneumonia but also for other diseases in order to patients and their family are understand well regarding diseases. Keywords: workload, conß ict with other staff, patient care issues, career development, job stress


Author(s):  
Muhammad Shahbaz ◽  
Raja Muhammad Ishtiaq Khan

Smartphones have an essential role in day-to-day lives. Mobile phone applications have several and wide ranging features. The use of these smartphone applications provides new insights for innovation and opportunities in language teaching and learning process. The present study intended to examine the efficiency of a mobile application on teaching 40 phrases from Nation and Martinez phrase test 1-5 compared to conventional activities. Quasi-experimental research design with pre-test and post-test was employed to determine the differences between the scores of the control group (N=20) and the experimental group (N=20) developed by using random sampling. Results indicated that participants in the experimental group performed significantly better in the post-test, demonstrating the effectiveness of the mobile application used in this study on learning idioms. The results showed that learners in the experimental group achieved considerably better development in the post-test, representing the efficiency of the smartphone application that was involved in the study. Suggestions have been given for using mobile phone applications more effectively for vocabulary learning.


Author(s):  
NaYoung Kim ◽  
Shin-Jeong Kim ◽  
Geum-Hee Jeong ◽  
Younjae Oh ◽  
HeeJung Jang ◽  
...  

This study examined the effects of group art therapy on depression, burden, and self-efficacy in primary family caregivers of patients with brain injuries. This was a quasi-experimental, nonequivalent control group and a pre- and post-test design. This study was carried out in one national rehabilitation hospital targeting 41 primary family caregivers of patients with brain injuries. Group art therapy intervention was carried out three days per week for 12 times over four consecutive weeks. The experimental group (n = 20) received group art therapy, whereas the control group (n = 21) did not. We used a time difference method to minimize the risk of contaminating the control group by sampling sequentially. The experimental group showed a significantly greater decrease in burden (t = 2.462, p = 0.020) and significantly greater improvement in self-efficacy (t = &minus;6.270, p &amp;lt; 0.001) than the control group. Group art therapy may be an effective nursing intervention for primary family caregivers of patients with brain injuries.


2018 ◽  
Vol 16 (8) ◽  
pp. 593-600
Author(s):  
Ploenpit THANIWATTANANON ◽  
Friska SINAGA

Osteoarthritis, as a common type of degenerative joint disease, puts older adults at high risk. It could impact the wellbeing of older adults, including physical, psychological, social, and economic factors. The aim of this study was to examine the effect of group support enhancing a self-management program on lifestyle modification behaviors among Indonesian older adults with knee osteoarthritis. Seventy-nine participants who met the inclusion criteria were recruited and assigned into the experimental group and the control group. Lifestyle modification behavior was measured during the first week, and after 6 weeks, of the program by using a Lifestyle Modification Behaviors Questionnaire (LMBQ). The internal consistency reliability coefficient of the LMBQ was 0.84. An independent t-test was conducted to examine the between group effect of the program. There was a statistically significant difference in lifestyle modification behaviors between the experimental group and the control group after receiving the program (t = 18.19, p = < 0.05). The group support enhancing self-management program effectively improved lifestyle modification behaviors among Indonesian older adults with knee osteoarthritis.


2018 ◽  
Vol 9 (01) ◽  
Author(s):  
Marzieh . Shamkhani ◽  
Ali . Khalafi

The purpose of this study was to determine the effectiveness of positive learning on happiness, Aggression and hope for adolescents with leukemia in Ahvaz. The sample consisted of 30 people who were selected by available sampling method. 15 subjects in the experimental group and 15 in the control group were randomly assigned. The experimental design was a pre-test-post-test type with control group and follow-up period. Measurement tools included Oxford Happiness Inventory (Argyle, 1989); Ahwaz's Aggression Questionnaire (Zahedifar, Najarian, and Shokrkon, 2000); Hope Scale (Schneider, 1991). To run, at first, the pre-test was taken from both groups. Then, the experimental group was trained in 14 sessions of 90 minutes, and after each group, they were subjected to post-test. And one month later, the follow-up process was completed. Data analysis was performed using multivariate covariance analysis (MANCOVA) and one-way analysis of covariance (ANCOVA). The results showed that positive attitudes toward happiness, aggressiveness and hopefulness of adolescents with leukemia in Ahvaz were effective.


Author(s):  
Rut Emi Febriyani Simamora ◽  
Lince Sihombing ◽  
Johannes Jefria Gultom

This study is aimed at finding out the effect of Collaborative Strategic Reading (CSR) on students’ achievement in reading comprehension on hortatory exposition text. Experimental design was applied in this research. The population was the 2014/2015 second year students (grade XI) of SMA Swasta YAPIM Medan. There were two paralel classes that consisted of 34 students. The total number of the population were 68 students. The total number of the sample were 68 students. The researcher selected the sample by using total sampling technique. The sample was divided into two groups, experimental group and control group. The experimental group was taught by using Collaborative Strategic Reading (CSR) strategy while the control group was taught without using Collaborative Strategic Reading (CSR) strategy. The data were taken by administering the pre-test and post-test to both control and experimental groups. These data were analyzed by using t-test. The result of computing the t-test obviously showed that t-observed (5.61) is higher than t-table (1.99) with the degree of freedom (df= 66) at the level significance 0.05. It means that the alternative hypothesis stating that there is a significant effect of Collaborative Strategic Reading (CSR) on students’ achievement in reading comprehension on hortatory exposition text is accepted. Keywords : Collaborative Strategic Reading, Reading Comprehension


Sign in / Sign up

Export Citation Format

Share Document